Organization
BLUE HERON CHIROPRACTIC, LLC
Active
Other names
Blue Heron Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
CLAIRE RUSSELL DC (OWNER)
(425) 616-2440
Entity
Organization
Contact information
Practice address
716 3RD ST UNIT B, MUKILTEO, WA 98275-1548
(425) 616-2440
(425) 332-7078
Mailing address
19308 76TH AVE W, EDMONDS, WA 98026-6201
(425) 750-6568
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
CH60517781
WA
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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